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A review of pricing models for healthcare services in private hospitals: A study of hospitals in Sokoto State

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Background of the study
Healthcare pricing models are critical to the financial sustainability of healthcare institutions, especially private hospitals, where pricing decisions directly influence profitability and access to healthcare services (Adegboye & Olanrewaju, 2024). In Sokoto State, private hospitals have been struggling with establishing optimal pricing strategies due to various factors, including the high cost of medical supplies, limited insurance coverage, and the socio-economic status of the population (Haruna et al., 2023). Pricing in healthcare can involve direct fees for services or be determined through insurance reimbursement schedules, and can vary significantly based on the type of care provided, patient demographic, and hospital policies (Olaniyi, 2025).

The challenge lies in balancing the need for hospitals to remain financially viable while ensuring that services are affordable and accessible to the local population (Eze et al., 2023). In Sokoto State, private hospitals face competition, but many are also challenged by an underserved population with limited purchasing power. Despite this, some hospitals have adopted innovative pricing models, such as pay-per-service or value-based pricing, in response to the increasing demand for healthcare services (Abubakar et al., 2024).

This review aims to assess various pricing models used by private hospitals in Sokoto State and explore how these models impact both healthcare delivery and hospital sustainability.

Statement of the problem
Many private hospitals in Sokoto State are struggling with the challenge of setting appropriate pricing for healthcare services, leading to difficulties in attracting and retaining patients while maintaining financial health. Additionally, there is a lack of comprehensive research on the specific pricing models adopted by private hospitals in the region, and the implications of these models for access to quality care, hospital revenue, and overall healthcare outcomes. This study addresses the gap by reviewing different pricing models in Sokoto State’s private healthcare sector and their implications for hospital operations and patient access (Tijani & Adeosun, 2023).

Objectives of the study

  1. To identify and analyze the pricing models used by private hospitals in Sokoto State.

  2. To assess the impact of these pricing models on hospital revenue and financial sustainability.

  3. To examine the relationship between pricing models and patient access to healthcare services.

Research questions

  1. What are the different pricing models employed by private hospitals in Sokoto State?

  2. How do these pricing models impact the financial sustainability of private hospitals in Sokoto State?

  3. What effects do these pricing models have on patient access to healthcare services in Sokoto State?

Research hypotheses

  1. There is a significant relationship between the pricing models used by private hospitals in Sokoto State and their financial sustainability.

  2. The adoption of value-based pricing models in Sokoto State’s private hospitals leads to improved patient access to healthcare services.

  3. The cost of medical supplies and staff remuneration significantly influences the pricing strategies of private hospitals in Sokoto State.

Scope and limitations of the study
This study will focus on private hospitals in Sokoto State, analyzing the pricing models they adopt and the implications on their operations. The research will be limited to pricing practices and will not extend to hospitals outside the private sector. A limitation of the study may include the availability of pricing data, as hospitals may be reluctant to disclose financial information.

Definitions of terms

  • Pricing Models: The strategies employed by hospitals to determine the cost of services provided to patients, including pay-per-service, flat-rate pricing, and value-based pricing.

  • Financial Sustainability: The ability of a hospital to maintain operations and achieve long-term financial health while providing healthcare services.

  • Value-Based Pricing: A pricing model where services are priced based on the perceived value to the patient, rather than the cost of the service or the provider’s expenses.


 





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